益气通脉汤合八段锦对冠心病 PCI 术后患者康复的影响
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R541.1

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Yiqi Tongmai Tang Combined with Eight-sectioned Exercise Has Effect on Postoperative Rehabilitation of Patients with Coronary Heart Disease after PCI
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    摘要:

    目的:观察在常规西药与康复训练基础上加用益气通脉汤联合八段锦干预冠心病经皮冠状动脉介入治疗(PCI)术后气虚血瘀证患者的效果。方法:将70例PCI术后气虚血瘀证患者随机分为观察组和对照组各35例。对照组予阿司匹林肠溶片、硫酸氢氯吡格雷片、阿托伐他汀钙片、美托洛尔缓释片、硝酸异山梨酯片治疗,并进行术后运动康复训练。观察组在对照组治疗基础上给予益气通脉汤联合八段锦干预。2组均观察治疗3月。采用超声心动图测定每搏输出量(SV)和左心室射血分数(LVEF),采用西雅图心绞痛量表(SAQ) 评价生活质量,并进行6 min步行试验(6MWT) 与气虚血瘀证评分的评定。结果:治疗后,观察组愈显率85.71%,高于对照组的62.86%,差异有统计学意义(P<0.05)。2组LVEF、SV值均较治疗前增加(P<0.01),观察组LVEF、SV值均高于对照组(P<0.01)。2组6 min步行距离均较治疗前增加,气虚血瘀证评分均较治疗前降低(P<0.01);观察组6 min步行距离多于对照组(P<0.01),气虚血瘀证评分低于对照组(P<0.01)。2组SAQ心绞痛发作情况、躯体活动受限程度、心绞痛稳定状态、疾病认识程度、治疗满意程度5个维度评分均较治疗前升高(P<0.01);除外疾病认识程度,观察组其他维度评分均高于对照组(P<0.01)。结论:在常规西药治疗与康复训练基础上加用益气通脉汤、八段锦干预冠心病PCI术后气虚血瘀证患者,能改善临床症状和心功能、提高活动能力和生活质量,有利于患者术后功能的康复。

    Abstract:

    Objective:To observe the effect of routine western medicine and rehabilitation training along with additional administration of Yiqi Tongmai tang combined with eight-sectioned exercise on patients with coronary heart disease with qi deficiency and blood stasis syndrome after percutaneous coronary intervention(PCI).Methods:Divided 70 cases of patients after PCI into the observation group and the control group randomly,35 cases in each group.The control group was given aspirin enteric-coated tablets,clopidogrel sulfate tablets,atorvastatin calcium tablets,metoprolol sustained-release tablets and isosorbide dinitrate tablets for treatment and received postoperative rehabilitation training exercise.The observation group was additionally given Yiqi Tongmai tang combined with eight-sectioned exercise based on the medicine intervention of the control group.The two groups were observed and treated for three months.The stroke volume(SV)and the left ventricular ejection Fractions(LVEF)were determined by echocardiography;the quality of life was evaluated by the Seattle angina questionnaire(SAQ)and the evaluation of 6-minute walk test(6MWT)and scores of qi deficiency and blood stasis syndrome were performed.Results:After treatment,the cured and markedly effective rate was 85.71%in the observation group,higher than that in the control group which was 62.86%,the difference being significant(P<0.05).The values of LVEF and SV in the two groups were increased when compared with those before treatment(P<0.01).The values of LVEF and SV in the observation group were higher than that in the control group(P<0.01).The distance of 6-minute walk in the two groups was increased when compared with that before treatment,while scores of qi deficiency and blood stasis syndrome were decreased(P<0.01).The distance of 6-minute walk in the observation group were longer than that in the control group(P<0.01),and the score of qi deficiency and blood stasis syndrome was lower(P < 0.01).Scores of the five dimensions as angina frequency,physical limitation,angina stability,disease perception and treatment satisfaction of SAQ in the two groups were increased when compared with those before treatment(P<0.01).In addition to the disease perception,scores of other dimensions in the observation group were higher than those in the control group(P<0.01).Conclusion:On the basis of the routine western medicine and rehabilitation training,the additional administration of Yiqi Tongmai tang and eight-sectioned exercise for patients with coronary heart disease after PCI can improve the clinical symptoms and heart function,and improve the activity ability and quality of life,which is beneficial to the recovery of the postoperative function of patients.

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严婷,朱利月.益气通脉汤合八段锦对冠心病 PCI 术后患者康复的影响[J].新中医,2018,50(6):68-71

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  • 在线发布日期: 2018-06-05
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